埋藏式起搏器安置术同时行冠状动脉造影的安全性

Safety Evaluation of Patients Treated with Implanted Pacemaker and Coronary Angiography

目的:探讨安置埋藏式起搏器的患者同时行冠状动脉造影(CAG)对囊袋出血的影响,从而来判断它的安全性。方法:收集2007-01/2009-12埋藏式起搏器安置患者95例资料,以是否同时行CAG分为造影组42例与非造影组53例,观察冠心病在缓慢型心律失常患者中的比例,以及起搏器囊袋出血情况。结果:造影组42例患者中18例为冠心病,占44.4%。起搏器安置的囊袋出血情况:造影组为4例9.5%,非造影组为5例9.4%,无统计学差异。结论:埋藏式起搏器安置术同时行冠状动脉造影没有增加囊袋出血,两者同时进行是安全的。

Objective： To evaluate the safety of patients who had received treatment of implanted pacemaker and coronary angiography. Methods： 95 patients who had received treatment of implanted pacemaker in our hospital from January 2007 to December 2009 were analyzed. The patients were divided into two groups. 42 patients in group A were treated with implanted pacemaker and coronary angiography. 53 patients in group B were treated with implanted pacemaker. The proportion of coronary heart disease in patients with bradyarrhythmia and pacemaker pocket bleeding was watched. Results： Among the 42 patients in group A, 18 had coronary heart disease,accounting for 44.4%;4 cases （9. 5%） in group A suffered from pocket bleeding after pacemaker implantation and 5 cases （9.4 %） in group B. Conclusion： Treatment with implanted pacemaker and selected coronary angiography will not increase pocket bleeding. Pacemaker implantation after coronary angiography is safe.